Significance of Evaluation of SIRS for Early Phase after Oral Cancer Surgery

Abstract

Systemic inflammatory response syndrome (SIRS) has been regarded as potential warnings for impending postoperative complications and multiple organ failure. To confirm the availability of SIRS evaluation after oral surgery for oral cancer, correlations between SIRS and the postoperative complications were examined.
Fifty-five patients underwent the primary reconstructive surgery using free flaps in our department from January 2008 to March 2012 were included. Patients who met more than 2 diagnostic criteria for SIRS within 2 postoperative days were classified as the SIRS group. Several clinical endpoints were compared between the SIRS and non-SIRS groups.
Forty-five patients were classified as the SIRS group and 10 patients as the non-SIRS group. The incidence of complications in the SIRS was significantly higher than that in the non-SIRS. Fourteen of the 19 patients (73.7%) without any postoperative complications in the SIRS were recovered from SIRS within 3 postoperative days.
SIRS evaluation in early postoperative period could be useful to predict postoperative complications in oral cancer surgery.